1760 LOr No.
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D PLIC APPLIANCE PERMIT
z "S 'MAY 2 D 1964 Dj �OR
OF CUPERTINO
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0 U D�r �� ` 196Y Permit No.�_
W I t $ �� od
2 W [ee'q
' o Application is hereby made to the City of Cupertino for a permit to
0 F install gas appliances as listed on the reverse side hereof, and agrees to
<a install said appliances in accordance with the provisions of the Plumbing
F F Code of the City of Cupertino, and all other laws applicable thereto.
Use of Premises �fpi
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o CONTRACT , AGENT
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— � Phone ;z- 7
01 State License Approved
U PLUMBING INSPECT
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